Laserfiche WebLink
� PERMIT APPLICATION SEPA06-037 <br /> CITY l'UF EVE��FT7 PERMIT SERVICES <br /> 3200 CED�R ST�EET, EVERETT, VUA 98201 <br /> 425-257-8810 — FA)�425-257-8857—www.everettwa.org <br /> APPLICATIONS AF:E ACCI:PTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS PARCEL TAX I.D.# PERMIT# <br /> 10D11 13th Dc SE, Everett, 98208 C.0 �O�l -�C� z <br /> LEGAL LOT NO. BLOCK TRACT <br /> DESC. 30 <br /> OWNER ADDRESS CITY/ZIP PHONE <br /> Green�eld Park LLC 9�14 4th SL NE Svite#102 Lake Stevens, 98258 425-953-1470 <br /> TENANTNAME CONTACTFORPERMIi PHONE <br /> Brittney Lundberg 425-953-1470 x 123 <br /> CONTRACTOR ADORESS CITYIZIP PHONE <br /> Greenfield Park LLC 9514 4ih St. NE Suite#102 Lakr.Stevens, 98258 425-953-1470 <br /> CONTR.LICENSE# GREENPL942�2 <br /> USE OF BUILDING HEAT SOURCE CONTRACT PRICE OF WORK <br /> Single Family hlome _Eleclric X Gas_Olher <br /> WORK DESCRIPTION <br /> Basic#300-2 Car <br /> PLUMBING MECHANICAL <br /> NO. TYPE OF FI%TURE OR ITEM NO. TYPE OF FIXTURE OR ITEM <br /> 3 Toilet A/C-air handling units <br /> 2 Bathtub 1 Forced air syslems <br /> 4 Lavalory(wash basin) 3 Gas piping <br /> ' Shower 1 Water heater <br /> I Kilchen sink 8 disposal 1 Gas fireplace <br /> 1 Dishwasher Gasrange <br /> 1 Clothes washer 1 Clothes dryer <br /> Laundry tray 1 Range hood <br /> Sink(service/bar/mop/etc.) 6 Exhaustfan <br /> Backflow preventer Heat pump <br /> Urinal Unit heater <br /> Drinking Founlain Boiler <br /> Floor drein Refrigeration <br /> Grease trap Woodstove <br /> 1 Roof dreins Other <br /> Other <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> II hereby ceritify that I have read and ezamined lhis application and know the same to be true and wrrect All provisions of laws and <br /> ordinaces goveming Ihis type of work will be complied with whether specified herein or noL The granting of a permit does not presume <br /> i to give authoriry to viotate or cancel ihe provision of any other stale or local law regulating construction or Ihe pertortnance of <br /> consiruclion. That I am authorized by the owner of ihis property lo perform the work for which application is made and I comply with the <br /> State Contractors Law 18.27 RCW and 296.200 WAC. <br /> � � <br /> �-,� � I � � � � i����. � ; ���ll��; ,��<�� `��i`�/l� "1 <br /> Signature of Owner�ContractodAutfionzed Age�r t ' Dal �/,� <br /> �� L <br /> �__ <br />